Individual
ALYSSA N KOTKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 POPLAR CHURCH RD, CAMP HILL, PA 17011-2205
(717) 763-0510
(717) 761-6081
Mailing address
500 UNIVERSITY DR, CA410, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061863
PA
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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